NPI | 1457708257 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK M132275) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 740850) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP131151) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP131151) | |
Enumeration Date | 2016-05-21 |
Last Update Date | 2024-02-15 |